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20140184 Permit Pkg 06092014 �'"�o�T��,`�` City of Yelm Permit ►vo.: 20140184 � � � Community Development Department Issue Date: 06-09-2014 � � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 YELM """"'""'°" Fax: (360)458-3144 Applicant: Name: KRISTA ALWINE Phone: 360-458-1759 Address: 15304 105TH AVE SE YELM WA 98597 Property Information: site Address: 15304 105TH AVE SE Owner: KRISTA ALWINE Assessor Parcel No.: 65080010600 Subdivision: Lot: Contractor Information: Name: KRISTA ALWINE Phone: Address: 15304 105TH AVE SE YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: RESIDENTIAL ADDITION Description of Work: ADDING A COVERED PATIO Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING KRISTA ALWINE $ 68.51 TOTAL FEES: $ 68.51 Applicant's Affidavit: OFFICIAI USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify th e proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations in ing those g ernin oning and land subdivision, and in addition, all covenants, easeme and res ric ion of re rd. If appl ing as a contractor, I further certify that I am currently Final Inspection: reg� tered in e Stat of shi gton. ;` � ---..._- Sign�ature � � Date ' � � 'd � � Date: Firm - �y� Cit� af Y�lm (36 ) 458-8402 REC#: 00162663 6/09/2014 1�;15 AM OPER: CO TERM: 001 REF#; TRAN; 33.UUOU BUTLDING PERMTTS 20140184 68,51CR ALVJINE, KRISTA 15304 105TH AVE SE BLOG 68,51CR TENDERED: 68.51 OTHER APPLIED: 68.51- CHANGE: 0.00 .mr�r.�. . , e�d/1 ��I(� J " U--,._. t CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address:l�3a�-t �OS t1y� �S Parcel#1 � � Subdivision�l��.�M£Aoovas�ot#: ��2 Plan#: Zoning: ❑ New Construction l�Re-Model/Re-Roof/Addition ❑ Home Occupation Sign ❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Home Placement ❑ Other � . i ` l : Project Description/Scope of Work: � r`�" f � ' � �� ` � � �� f �� '� r ` �� Project Value: �'�� J'J� Building Area(sq.ft) 1S`Floor 2"d Floor 3`d Floor Garage-2 car 3 car Covered Patio '"� Covered Porch Patio Deck #Bedrooms #Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? N� If yes, a completed environmental checklist must accompany permit application .L�3� �� .^.�i(� BUILDING OV11N�F��1��IVIE: ` � y- L-��''�s- ADDR SS ��`�`'1 D "' S �= EMAIL CIT r.. � STATE A ZIP°��35°�'1 TELEPHONE 3�•4�"� • �q RRCHfTECTTENG�NEEFt LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTFL4C�'OR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# PLUMBING CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above des ' d prop will be in accordance with the laws,rules and regulations of the State of Washington and the f Yel . ��Z 5 �� A cant's Signature Date Owner I Contractor/Owner's Agent/Contractor's Agent(Please circle one.) All permits are non-transferable and will expire if work au�orized by such permit is not begun within 180 days of issuance, or if work is suspended or albandoned fDT��,�Qc�o�80 days JUN 0 3 2014 105 Yedm Auenue West �� —73SDJ 5-3835 Yelm,WA 98597 (360)458-3144 FAX www.ci.yelm.wa.us �,-, �a � .� � � � � � ----_,_._-, ..� ,�l -.�� d . � �� .� :�: °' � ti�oZ �o Nnr Ll. : ° � � _ �� rI(�� rj� �, � � � (1! � -�, t , � J � % � � � r� �^�, j 0 0 � , N w...1 � � � � ..� � � r y ^ �, � � � � J `� v� 0 '� � 1 � � d �� V1 � 4� � � � � �� r � o �. �> � -, �� .` � � � ��4� � 1 � � � � : �� , 1, , +k;��,�. �:s.. ,,�, a : i '� � � � �� • • � :�, � � ~ � � �� l s_ °' � � ~ C1 e '� � i v �y, —S F � � �n p � � � � � � � � _ 'f �- � � � � � � � U � N 3 � � �— a -� � � � s � � � � s � � � � �, L �.� � � � � � � � '�" �' � � �' � `, � --. s �- o � � � s' - -_ � N � n � � _ ( 3 � .�J � 91 ao -r t� � � � t� � t �n � �- 1 +N t �� "x .�, � � � ' � s °� o � � v L rt � cXv � 3 s s'�n � �v1 0 ' �� t � _., a • . � Y D \ �''1 � � ` � u � �-- � C tit �- �, v a �, � � n �